Active NPI
Manjunath Harlapur, M.D.
- Internal Medicine Physician
- Orange City, FL
National Provider Identifier
1104855329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- PENDING
- Practice address
- 759 Harley Strickland Blvd
Orange City, FL 32763-7954 - Phone
- (646) 645-4893
- NPI assigned
- Jul 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | PENDING | PA | Primary |
| Cardiovascular Disease Physician | 207RC0000X | ME122885 | FL | |
| Interventional Cardiology Physician | 207RI0011X | ME122885 | FL |
Addresses
Primary practice location
759 Harley Strickland Blvd
Orange City, FL 32763-7954
Mailing address
759 Harley Strickland Blvd
Orange City, FL 32763-7954
Phone (646) 645-4893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | PA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Executive Health Resources Clinical Staffing Solutions PC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Newtown Square, PA
- NPI 1225067424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461628800000",
"number": "1104855329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "759 HARLEY STRICKLAND BLVD",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327637954",
"telephone_number": "646-645-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 HARLEY STRICKLAND BLVD",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327637954",
"telephone_number": "646-645-4893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLAPUR",
"first_name": "MANJUNATH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-01",
"last_updated": "2016-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "PENDING",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME122885",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "FL",
"license": "ME122885",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.